Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,100.00 / $6,945.00	Facility		$1,017.00	$4,100.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.96 / $718.96 / $718.96	Professional		$718.96	$718.96	$718.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $673.81 / $800.71 / $7,812.00	Professional		$673.81	$800.71	$7,812.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.55 / $1,095.19 / $1,950.72	Professional		$698.55	$1,095.19	$1,950.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.17 / $1,631.69 / $1,631.69	Professional		$776.17	$1,631.69	$1,631.69
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.92 / $839.32 / $1,975.53	Professional		$482.92	$839.32	$1,975.53